Individual
DEATRICE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3702 E 1ST CT, PANAMA CITY, FL 32401-5719
(850) 691-7044
Mailing address
3702 E 1ST CT, PANAMA CITY, FL 32401-5719
(850) 691-7044
Taxonomy
Speciality
Code
Description
License number
State
2279P3900X
Neonatal/Pediatric Registered Respiratory Therapist
Primary
RT5907
FL
Other
Enumeration date
06/27/2008
Last updated
08/30/2010
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